EFFECT OF DENTAL EDUCATIONAL PROGRAM ON ORAL HYGIENE STATUS AMONG INSTITUTIONALIZED DEAF CHILDREN. A RANDOMIZED CONTROLLED TRIAL

Sohil Souod Ali Shaalan And Sherif Bahgat El Tawil And Sara Ahmed Mahmoud .,

ABSTRACT
The Aims Of This Study Were To Assess: 1) The Effect Of Dental Educational Program On Oral Hygiene Among Institutionalized Hearing Impaired And Mute Children And 2)assess Particpants Satisfaction Toward Oral Health Via Questionaire Before And After Program. Two Hundred And Thirty Eight Children Within Age Range (6-12) Included In This Study Divided Into Two Equal Groups, Intervention Group And Control Group. Intervention Group Received Educational Program And Control Group Didn�t. Oral Hyiegne Simplified Index(OHIs) Was Done For Both Groups At Baseline And At Three Follow Up Visits (at 1st Week, 3rd Week And 6th Week). Questionnaire Was Taken At The Basline And At The End Of Study To Assess Particpants Satisfaction Toward Oral Health. The Result Of The Study Showed Significant Improvement In Oral Hygiene Status And Significant Improvement In Participant Satisfaction Toward Oral Health In The Intervention Group After The Educational Program.

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POST OPERATIVE PAIN AFTER THERACAL PULPOTOMY VERSUS MTA-ANGELUS PULPOTOMY OF CARIOUSLY-EXPOSED VITAL YOUNG PERMANENT MOLARS: A RANDOMIZED CLINICAL TRIAL

Passant Nagi, Nevine Waly, Adel Elbardissy And Mohamed Khalifa Zayet,

ABSTRACT
Objective: Comparing Pulpotomy (partial/complete) For Cariously-exposed Vital Young Permanent Molars Using TheraCal/MTA-Angelus Regarding Post-operative Pain. Methods: This Was Randomized Clinical Trial, Double-blinded. We Treated 22 Permanent Molars, 7.7 Years Was Mean Age Of Participants. We Used Rubber Dam Isolation, Perform Pulpotomy, Direct Application Of Capping Material, Then Glass Ionomer Base And Composite Resin Final Restoration. We Took Immediate Standardized Postoperative Periapical Radiographs. We Evaluated Post-operative Pain Using Telephone Call The Same Day And Clinical Assessment 24 Hours Later.

Results: We Used Absolute Risk Reduction. The Risk Of Post-operative Pain At The Same Day Was 7-times More In TheraCal Group Compared To MTA Group. Pain Relief Was Observed 24 Hours After The Procedure. Conclusion: MTA Cause Less Post-operative Pain Than TheraCal When Used For Pulpotomy In Young Permanent Molars.

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EVALUATION OF BONE QUALITY AND QUANTITY IN OPEN SINUS LIFT TECHNIQUE WITH SPACE MAINTAINING TITANIUM MESH USING PLATELET RICH FIBRIN (PRF) VERSUS WITHOUT PLATELET RICH FIBRIN (PRF) IN PATIENTS WITH ATROPHIED POSTERIOR MAXILLARY RIDGE SEEKING IMPLANT (CONTROLLED CLINICAL TRIAL)

Ahmed Hassan Mohamed Ahmed El Banna, Emad Said Helmy And Mostafa Talaat El Gangehi,

ABSTRACT
Objective: The Purpose Of The Present Study Is To Evaluate The Effect Of Platelet Rich Fibrin (PRF) As A Grafting Material On The Quality And Quantity Of The Formed Bone At Maxillary Sinus Floor After Schneiderian Membrane Elevation And Maintaining Space With Titanium Mesh Versus Sinus Lifting Without Any Grafting Material.

Materials and Methods: The Patients Were Clinically And Radiographically Evaluated, The Clinical Evaluation Included Assessment Of Complications During Surgery And Postoperative Healing. Radiographic Evaluation Involved CBCT Radiographs Taken For Every Patient Immediate And 6 Months Postoperatively To Evaluate The Changes In Bone. While Histopathological Evaluation Involved Transcortical Bone Biopsies Taken After 6 Months During The Second Stage Surgery For Implant Placement.

Results: From The Data That Extracted From The Current Study We See Clear Radiological And Histological Evidences To Bone Formation In The Sinus After Using Lateral Window Technique For The Lift While Using Blood Clot Alone In One Group And PRF In The Other Group For The Bone Formation. Also There Was No Significant Difference In Linear, Volumetric Of Newly Formed Bone In Both Groups. Conclusion: Titanium Mesh Serve As A Space Maintaining Devices In Both Grafting And Non-grafting Sinus Lifting Techniques Regarding Tenting And Bone Formation, During Graftless Maxillary Sinus Lifting Blood Clot Serves As Autogenous Graft Filler Material For Bone Regeneration.

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COMPARING THE EFFICACY OF BOTULINUM TOXIN TYPE A INJECTION IN THE LATERAL PTERYGOID WITH THAT COMBINED WITH ANTERIOR REPOSITIONING SPLINT IN TREATING PATIENTS SUFFERING FROM ANTERIOR DISK DISPLACEMENT

Maram Taema, Nouran Abdel Nabi, Heba Kamal And Samira Ibrahim,

ABSTRACT
In The Present Study, A Total Number Of Six Female Patients (12 Joints) Were Included In The Study. All Included Patients Were Diagnosed For Anterior Disc Displacement With Reduction. All Included Patients Received A Pre-operative Magnetic Resonance Imaging (MRI), And Pain Assessment Using A VAS Scale. Patients Were Randomly Divided Into Two Groups The First Group Of Patients Received Botox Injection In The Lateral Pterygoid Muscle, While The Second Group Of Patients Received Botox Injection In The Lateral Pterygoid Muscle And Received An Anterior Repositioning Splint One Week After Botox Injection. All Patients Were Followed Up 2 Weeks After Botox Injection, And Every Month For A 4 Month Follow Up Period After Botox Injection. Both Groups Of Patients Showed Clinical Improvement Regarding Pain, Mouth Opening And Clicking. The First Group Of Patients Showed Better Clinical Results When Compared To The Second Group Of Patients.

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LOW-LEVEL LASER THERAPY FOR PAIN RELIEF AFTER PLACEMENT OF THE INITIAL ORTHODONTIC ARCHWIRE (RANDOMIZED CONTROL CLINICAL STUDY)

Ali El Masri, Nayer Aboelsaad, Ahmed Abdel Moneim And Essam Osman,

ABSTRACT


Purpose: The Aim Of This Study Was To Evaluate The Pain Sensation That Orthodontic Patients Experience When Initial Arch Wire Is Placed And To Determine The Degree Of Analgesic Efficacy Of Low-level Laser Therapy (LLLT) Comparing It With A Placebo Treatment Using Two Different Duration Of Laser Application.

Materials and Methods: This Study Was Carried Out As A Randomized Control Clinical Trial (split Mouth Design). The Study Sample Consist Of 20 Patients (10 Females, 10 Males), Between The Ages Of 15 And 25 Years. Just Before Placing The Initial NiTi Wire A Record Of Pain At Time T1 Had Taken Then The Wire Placed And Fully Fill The Bracket Slot. The Upper Right Side Had Irradiated Using 910nm GaAlAs Diode Laser With An Output Power Of 0.2W For 10s/point And Of 2 J/point, Three Points Were Irradiated In The Vestibular Zone: Two Points At The Third Cervical (mesial And Distal) And One In The Apical Third. After That Three Points Were Irradiated At The Palatal Zone In The Experimental Quadrant. The Total Energy Released In All Laser-treated Teeth Was 12 J. Irradiation Is Done For 1 Min In Group A(GA) And 1 Min For 2 Time In Group B(GB) So That The Output Power (0.2w) And Energy (2j/point) Is Fixed. The Same Procedure Had Repeated In The Contra Lateral Quadrant, But With Laser Switched Off. This Procedure Had Been Done Immediate After First Wire Insertion Then It Is Repeated After 24 Hours, 48 Hours, And 72 Hours. Results Had Taken Using VAS Scale Before Placing The Wire And At 5min, 6h, 24h, 48h, 72h, One Week, And Two Weeks After Wire Insertion.

Results: Pain Level Reported For The Experimental Laser Side Was Significantly Less Than That Reported For The Control Placebo Side (GA T= 0.56, GB T= 0.42) In Both Groups However The Group B That Exposed To Laser Extra Time Show Lower Value Of Pain Than Group A. The Mean Pain Value In Laser Exposed Side Was More Than That For Placebo Side For Both Groups. The Progression Of Pain Was The Same For Both Groups. GA Showed More Pain Values Than GB But There Is No Statistical Difference During The Study Period. Conclusion: The Application Of LLLT After The First Wire Insertion Is An Effective Way To Decrease Orthodontic Pain, But The Increase Of Duration Of LLLT Has No Obvious Difference.

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EFFECT OF HYALURONIC ACID GEL ON POST-OPERATIVE PAIN FOLLOWING MODIFIED WIDMAN FLAP IN THE TREATMENT OF CHRONIC PERIODONTITIS: A RANDOMIZED CONTROL CLINICAL TRIA

Miran Ismail I., Manal M. Hosny And Shahinaz Gamal El-Din Alashiry,

ABSTRACT

Objectives: The Aim Of This RCT Was To Assess The Effect Of Topical HA On Postoperative Pain After MWF Versus MWF Alone In Patients With Chronic Periodontitis. Methods: Forty Patients With Chronic Periodontitis Having PPD ? 5 Mm And CAL ? 5 Mm Were Randomly Assigned To Be Treated With MWF Surgery In Conjunction With Either 0.2% Hyaluronan Gel (test) Or Placebo Gel (control) Application For 1 Week, Following Initial Nonsurgical Periodontal Therapy And Re-evaluation After 4 Weeks. Patient Discomfort Measured By VAS And Post-operative Consumption Of Acetaminophen Analgesic Were Evaluated Daily For 1 Week. Tissue Edema, Tissue Color Values Were Recorded 1 Week After Surgical Treatment. CAL, PPD, PI, And BOP Values Were Assessed At Baseline And 2 Months After Surgical Intervention.

Results: Test Group Showed More Reduction In Average VAS Scores, Acetaminophen Consumption, PPD And CAL During Serial Measurements (especially In VAS Measurements) Without Reaching Statistical Significance. No Significant Differences Were Present Regarding BOP And PI Values (P>0.05). Moreover, Significantly Higher Values Of TEI And TCI Scores Were Revealed In Control Group Compared To Test Group (p = 0.0001). Conclusion: Hyaluronan Gel Application In Conjunction With MWF Surgery Appears To Improve The Periodontal Surgical Outcome In Terms Of VAS, Reduction In The Number Of Rescue Pills Intake, Tissue Edema And Tissue Color Of The Gingiva.

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COLOUR STABILITY AND MICROHARDNESS OF ORMOCER BASED AND NANOHYBRID RESIN COMPOSITES WITH AND WITHOUT ACIDIC CHALLENGE: AN IN VITRO STUDY

Doha Mostafa, Heba Hamza And Ahmed El Zohairy,

ABSTRACT
Objective: The Study Was Conducted To Evaluate The Effect Of Acidic Beverages On The Color Stability And Microhardness Of Ormocer And Nanohybrid Resin Composites.

Materials and Methods: Thirty Disk-shaped Specimens (6X2mm) Of Each Of 2 Resin Composites, Admira Fusion And Grandio Were Prepared. The Specimens Were Then Divided Into 3 Subgroups Of 10 Specimens Each And Immersed In 3 Immersion Solutions (cola, Orange And Artificial Saliva) For 3 Hours Daily Over A 15-day Test Period. Color Of The Specimens Was Measured With A Digital Spectrophotometer Vita Easy Shade Using CIELAB Color Space And Microhardness Measurements Were Done Using Vicker�s Microhardness Tester. Pre And Post Immersion Measurements Were Taken And Statistically Analyzed.

Results: After Immersion, Admira Had More Color Change Than Grandio And Was More Affected By Cola. Also Admira�s Microhardness Was More Affected By Immersion In Cola Compared To Grandio. Conclusion: The Nanocomposite Grandio Compared To Ormocer Admira Was More Resistant To Color Change And Surface Microhardness Changes When Immersed In Acidic Beverages.

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PREVALENCE OF DENTAL CARIES IN PRIMARY TEETH OF PRETERM CHILDREN AGED 2-5 YEARS OLD

Ohoud T. Zainelabdeen, Eman S.Elmasri, Samah M.Awad And Ahmad M.M. Badr .,

ABSTRACT

Objectives: To Determine The Prevalence Of Dental Caries In Pre-term Children Aged 2-5 Years Seeking Treatment Or Follow Up At Cairo University Children�s Hospital �Abo El-rish� At El-Monira, Cairo, Egypt. Design: It Is A Cross Sectional Study. Subjects And Methods: A Total Sample Size Of 300 Children Was Taken (140 Boys And 160 Girls), Assessment Of Oral Hygiene And Dietary Habits Was Aided By A Specially Designed Questionnaire, It Contained Six Open Ended And Eight Closed Ended Questions. Part One Included The Patients� Personal Data, Second Part Was About The History Of The Child�s Feeding, And Third Part Included Some Questions About The Child�s Oral Hygiene. Clinical Examination Of Children Was Performed By The Researcher Using: A Dental Mouth Mirror, Dental Probe And A Piece Of Cotton Or Gauze. All The Surfaces Of The Teeth Were Examined For The Presence Of Dental Caries And Recorded Using The (dmft Score Of Primary Teeth.

Results: The Results Of This Study Showed That The Prevalence Of Dental Caries Was 96.6% Among The Studied Sample With Dmft Sores Ranging From 0.00-16.0 With Mean Dmft Of 4.0. Conclusion: Presence Of A Direct Positive Correlation Between The Pre-term Birth And Dental Caries In Primary Dentition. The Effect Of The Other Cariogenic Factors And Oral Hygiene Measures On The Pre-term Children Teeth Was A Direct Relation In Causing Dental Caries In Pre-term Children.

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EVALUATION OF POSTOPERATIVE PAIN AFTER SINGLE VISIT ROOT CANAL TREATMENT ASSOCIATED WITH THE THREE ROTARY SYSTEMS; ONE ENDO, F6 SKYTAPER AND PROTAPER UNIVERSAL (RANDOMIZED CONTROLLED CLINICAL TRIAL)

Ola Adel Hafez, Alaa Eldin Hussein Diab And Heba Ahmed El-Asfouri .,

ABSTRACT
Aim Of The Study: Was To Compare The Intensity Of Postoperative Pain After Single Visit Endodontic Treatment Using ProTaper Universal Multiple File System And The Single File Rotary Systems; ONE ENDO And F6 SkyTaper. Methodology: In This Single-blinded, Parallel-grouped Randomized Clinical Trial, A Total Of 58 Healthy Patients Aged Between 20 To 50 Years Old Were Diagnosed With Symptomatic Irreversible Pulpitis Of One Maxillary Or Mandibular Premolars. Teeth Were Randomly Assigned To Three Groups According To The Root Canal Shaping System: ONE ENDO (Group A), F6 SkyTaper (Group B) And Rotary ProTaper Universal As A Control (Group C). All Treatments Were Completed In A Single Visit. The Severity Of The Postoperative Pain Was Assessed By The Verbal Rating Scale (VRS) After 24, 48 And 72 Hours. Data Were Analyzed Using The Kruskal-Wallis And Mann-Whitney U Tests.

Results: After 24 Hours: There Was No Statistically Significant Difference Between The Three Studied Groups (p= 0.126). After 48 Hours: Group A Showed The Lowest Pain Levels With Statistically Significant Difference With Both Groups B (p=0.003) And C (p=0.036). However, There Was No Statistically Significant Difference Between The Intervention Group B And The Control Group C (p=0.407). After 72 Hours: Group A Showed The Highest Levels Of Total Pain Relief (ie; Pain Score 0) With Statistically Significant Difference With Group B (p=0.011) But Without Significant Difference With Group C (p=0.073). Pain Scores For Both Groups B And C Were Almost Similar (p=0.459). Conclusion: Number Of Instruments Had No Impact On Postoperative Pain.

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EFFECT OF COFFEE, CARBONATED ORANGE JUICE AND ARTIFICIAL SALIVA ON THE HARDNESS OF CEMENTED CERASMART LAMINATE VENEERS (IN VITRO STUDY)

Yasmin Shebl Hussein, Samir Mahmoud Ali Zidan And Jylan Fouad El Guindy,

ABSTRACT
Objective: To Evaluate The Surface Hardness Of Cemented CERASMART Laminate Veneers After Exposure To Acidic Beverages (coffee, Carbonated Orange Juice And Artificial Saliva) For 24 Days Resembling 2 Years Of Clinical Service.

Materials and Methods: A Total Of 36 Cemented CERASMART Laminate Veneer On Extracted Central Incisors Were Fabricated By CEREC MC XL Milling Machine. All Samples (N=36) Were Divided Into To Three Test Groups As Follows: Group (A): Stored In Artificial Saliva Group B: Stored In Coffee And Group C: Stored In Carbonated Orange Juice. Surface Hardness Was Measured After Exposure To Aging Solutions, Where The Surface Hardness Was Measured Through Vicker�s Indentation, Three Indentations Were Made In Each Sample And The Mean Was Calculated For Each. Data Were Analysed Using One-way Analysis Of Variance (ANOVA) Significance Difference Test. Differences Were Considered Significant At P<0.05.

Results: It Was Found That The Highest Mean � SD Value Of Surface Hardness Recorded With Saliva Storage (204.607�6.905 HV) Then Coffee Storage Mean Value (202.796�6.014 HV) While The Lowest Mean � SD Value Of Surface Hardness Recorded With Orange Storage (201.867�7.438HV). The Difference Was Statistically Non-significant As Indicated By One-way ANOVA (F=0.416, P=0.6687>0.05).

Conclusions: Surface Hardness Of CERASMART Veneers Was Not Affected By Coffee And Carbonated Orange Juice Immersion.

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